1. Read your text, Finkelman (2016), pp- 111-116.
2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
4. Write a 5-7 page paper.
5. which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC.  Click on the envelope at the top of the page.
6. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
7. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
8. Discuss your observations about how the current nursing care model is being implemented. Be specific.
9. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
10. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
11. Write your paper using APA format using Microsoft Office 2010 or later.
12. Submit your paper no later than 11:59 p.m. MT on Sunday by the end of Week 5.

**Academic Integrity Reminder**

Rubric

Nursing_Care_ModelsCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeNursing Care Model in PracticeIdentify Nursing Care Model in practice including specifics about who, what when, where, etc.60.0 ptsAfter an introduction paragraph, thoroughly identifies Nursing Care Model in practice including all the specifics about who, what when, where, etc.53.0 ptsAfter an introduction paragraph, generally identifies Nursing Care Model in practice including most of the specifics about who, what when, where, etc.48.0 ptsAfter an introduction paragraph, briefly identifies Nursing Care Model in practice including minimum specifics about who, what when, where, etc.23.0 ptsAfter an introduction paragraph, briefly identifies Nursing Care Model in practice, but describes only one or two specifics.0.0 ptsDoes not provide an introduction paragraph. Fails to identify a Nursing Care Model. Does not include any specifics.60.0 pts
This criterion is linked to a Learning OutcomeScholarly Sources Related to Nursing Care ModelIn addition to Finkelman, locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper.40.0 ptsThoroughly reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, thoroughly reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.35.0 ptsGenerally reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, generally reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.32.0 ptsBriefly reviews only one resource (besides the course textbook) related to nursing care model observed in practice setting. Also, briefly reviews only one resource (besides text) related to a nursing care model that is different from the one you observed.15.0 ptsReviews only one resource (besides the course textbook) related to the nursing care model observed in practice, and fails to review a resource (besides the course textbook) related to a nursing care model that is different from the one you observed.0.0 ptsFails to provide any resources related to the nursing care model that was observed and that was different.40.0 pts
This criterion is linked to a Learning OutcomeImplementation and RecommendationsDescribe implementation of current Nursing Care Model and recommend a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction.60.0 ptsThoroughly describes implementation of current Nursing Care Model and recommends a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction53.0 ptsGenerally describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits quality or safety or staff satisfaction.48.0 ptsBriefly describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits two of the following (quality/safety/staff satisfaction).23.0 ptsMinimally describes implementation of current Nursing Care Model but does NOT recommend a different model that could be utilized. Various elements are missing related to improving quality of nursing care, safety and staff satisfaction.0.0 ptsDoes NOT describe a Nursing Care Model or a different model that could be utilized. Elements are missing related to improving quality of nursing care, safety and staff satisfaction.60.0 pts
This criterion is linked to a Learning OutcomeConclusion and summarySummarize what you learned about this experience including new knowledge about nursing care models.20.0 ptsIncludes conclusion paragraph and thoroughly summarizes what you learned about this experience including new knowledge about nursing care models.18.0 ptsIncludes conclusion paragraph and clearly summarizes what you learned about this experience including new knowledge about nursing care models.16.0 ptsIncludes conclusion paragraph but briefly summarizes what you learned about this experience or includes new knowledge about nursing care models but not both.8.0 ptsConclusion/ summary is present but difficult to find in closing paragraphs of paper.0.0 ptsDoes not Include a conclusion paragraph.20.0 pts
This criterion is linked to a Learning OutcomeClarity of writingContent is organized, logical, and with correct grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious.20.0 ptsContent is organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Less than three errors are noted.18.0 ptsContent is mostly organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check is obvious. Four to six errors are noted.16.0 ptsContent is somewhat organized, logical and grammar, punctuation, spelling, and sentence structure are correct. Minor APA formatting errors exist. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check are not obvious. Seven to 10 errors are noted.8.0 ptsContent is somewhat organized, but may lack logic. Several errors occur in grammar, punctuation, spelling, and sentence structure. Major APA formatting errors exist. Reference page does not match up with in-text citations, i.e., references may be missing for in-text citations, or references appear with no comparable in-text citation. Eleven to 15 errors are noted.0.0 ptsContent is disorganized and writing has numerous grammar, spelling, or syntax errors. APA formatting was not used. Spell check and grammar check are not obvious. More than 15 errors are noted.20.0 pts

 

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

  

Discussion Grading Criteria:Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s).

 No Plegarism please,  will be checked with Turnitin. 

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within 2015-2018)with intext citations.  

Topic 1K.N. is a 24-year-old woman who presents to the family practice clinic complaining of sudden urgency to urinate, back pain, frequent urination, and pain with urination. Symptoms began approximately 48 hours ago.

She awoke from sleep with urgency and suprapubic discomfort 2 nights ago. Her urine now has a strong odor and a cloudy appearance. She has an allergy to Bactrim.

1. What are some appropriate questions to ask the patient?
2. What are three differential diagnoses for the patient?  ( Urinary Tract Infection,, Overactive Bladder, Cystitis, Noninfectous Urethritis)
3. What physical examination would you perform? (Urine culture
4. What diagnostics would you include?
5. Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

Urine dipstick results: Color, dark yellow, specific gravity 1.035, ph 5.5, protein (-), Ketones (-), Bilirubin (-), Trace blood, Leukoesterase (+), Nitrites (+), Urobilinogen (-) 

  

Need 2 responses done. Answer as if it were me. 

– Min 150 words EACH, 

– Min 1 scholar source (no later than 5 years) EACH, 

– APA format. 

The post: Karen is still not convinced that Theory has any place in APN practice. Provide a specific example of how theory is relevant to APN practice in one of the four specialties (CNM, CNP, CRNA or CNS). Provide evidence to support your arguments.

                                                                 ANSWERS TO POST:                                                                          

POST 1:

As an emergency room nurse, working alongside several nurse practitioners, it is very apparent that nursing theory is relevant to everyday practice. Woten and Karakashian (2017) describe the role of an emergency room nurse practitioner as, an advanced practice nurse with specialized training that can provide holistic care to patients. The idea of providing holistic care branches from several nursing theorists that discuss the importance of treating every individual as a whole. For example, an individual may arrive to the emergency department with chest pain, which will immediately warrant an electrocardiogram.  The patient will then be triaged and have vital signs taken. Most patients with chest pain will have blood work and a chest x-ray. Sometimes patients may present with chest pain and all the results are negative, this does not mean that the patients pains are not legitimate or a concern.  As a holistic provider, we are to rule out every life-threatening emergency but also provide continuation of care. Sometimes patients may not have a primary care provider, a support system, or means of seeking further help.  This is where the provider is to seek help from a social worker and assist the patient in having follow-up care. In some cases, the patient may be admitted to the hospital for further testing that cannot be completed in the emergency room.  This plan of care shows a holistic approach to treating a patient. Patients “pain” level should never be ignored, even though results are negative. On several occasions, patients are treated with antacids to rule out gastritis or GERD that can cause chest pain, and anti-inflammatory medication to treat possible costochondritis. The importance of a holistic approach is to avoid missing any possible findings that are not initially seen and so that if there is something that may occur the patient is not treated as if nothing is wrong with them.  Holistic nursing care is one of the most important theories all nurses should follow, it leads to the best possible patient outcomes.

POST 2:

Theory helps to generate knowledge in which nursing should develop in the future. Nursing theory can be used to improve and evaluate the quality of clinical practice by distinguishing the practice that can help patients with better care and enhance professional status for nurses. Nursing theory helps to define a relationship that creates a domain of interest in the healthcare profession. A valuable theory creates expectations about a conduct, health problems, and environment that are reasonable and reliable with daily remarks. For instance, in nursing theory class, we discussed Watson theory of caring which focuses on the caring aspect of nursing practice. I think that it is a very important theory because it reflects on the ability to create a relationship of trust and respect with patients. The theory of Watson implies the ability for a nurse to care for patients holistically to accommodate a better relationship between patients and healthcare providers. A recent study was done that applies Watson’s theory of practice in an assessment for patients with chronic heart failure with acceptance of collaboration between nurses and patient for transpersonal teaching-learning was showed to be efficient on improving CHF self-management. The strategy of nursing management of care for CHF patients activates the main element of Watson’s model for an enhancement for a better result of self-management care for CHF patients (Leong, Lao, & Chio, 2013).  A CNP can use the Watson model to interact with patients. For instance, as a future NP, it is vital that we connect with patients, so we can create a good relationship with patients in order to help them. Based on King’s theory, nursing is outlined as a practice of interactions between nurse and patients to perceive and set goals to reach the goals (Leon-Demare et al., 2015). The function of king’s theory of goal accomplishment to NP clinical encounters supports the nursing foundations motivating advanced practice nursing. King’s theory accentuates on a constructive bond between the presence of connection and patients ‘point of view of belief and gratification as outcomes of the NP patient connection.